PACU STUDY GUIDE QUESTIONS AND 100%
VERIFIED CORRECT ANSWERS!!!
Hypoventilation Emergence
Allowing CO2 ↑ to stimulate respiratory drive to blow off agent.
These Pt have more complications.
Mechanical ventilation Emergence
Using some sort of ventilation to rid the Pt of agent.
Definition of Hypoventilation
CO2 > 45mmHg
What is the most frequent cause of delayed emergence from inhalation anesthesia?
Hypoventilation
- Metabolic disturbances
- Neurologic injury
- Hypothermia
↑ complication ↑ recovery time
Recall is usually who's fault?
The practitioner's.
Forgot to administer agent...
Recovery
Begins with discontinuation of anesthetic agents
Response to verbal stimuli
▼ <0.3 MAC
,- "MAC awake"
Extubation in the OR (usually)
MAC pharegengial tone
0.1 MAC (1/10)
Pt may be a wake but can still obstruct or aspirate
▼ Blow off all agent (ET gas to O) to ↓ risk
Extubation
Usually in OR
PACU Discharge Criteria
- Easy arousability
- Full orientation
- The ability to maintain and protect the airway
- Stable vital signs for at least 15-30 minutes
- The ability to call for help if necessary
- No obvious surgical complications
PACU Discharge Criteria
- Controlling postoperative pain
- Controlling nausea and vomiting
- Reestablishing normothermia prior to discharge
What keeps Pts in the PACU the most
N/V
Utilize multi modality antiemets to prevent this.
Guidelines for Discharge
(Table from book)
, Normal urine output for adults?
1ml/kg/hr
What are the 2 recovery systems the PACU uses?
Aldrete Recovery System
Postanesthesia discharge scoring system (PADS)
Aldrete Recovery System
- Activity 0-2
- Respiration 0-2
- Circulation 0-2
- Consciousness 0-2
- Color 0-2
- 0-10
Least used. Does not talk about pain or recovery.
Aldrete Recovery System
(Table form book)
Postanesthesia discharge scoring system (PADS)
- Vital signs 0-2
- Activity level 0-2
- Nausea and vomiting 0-2
- Pain 1-2
- Surgical bleeding 0-2
- Score> 9 is required for discharge
Has more to do with Sx complications.
Postanesthesia discharge scoring system (PADS)
(Table for book)
VERIFIED CORRECT ANSWERS!!!
Hypoventilation Emergence
Allowing CO2 ↑ to stimulate respiratory drive to blow off agent.
These Pt have more complications.
Mechanical ventilation Emergence
Using some sort of ventilation to rid the Pt of agent.
Definition of Hypoventilation
CO2 > 45mmHg
What is the most frequent cause of delayed emergence from inhalation anesthesia?
Hypoventilation
- Metabolic disturbances
- Neurologic injury
- Hypothermia
↑ complication ↑ recovery time
Recall is usually who's fault?
The practitioner's.
Forgot to administer agent...
Recovery
Begins with discontinuation of anesthetic agents
Response to verbal stimuli
▼ <0.3 MAC
,- "MAC awake"
Extubation in the OR (usually)
MAC pharegengial tone
0.1 MAC (1/10)
Pt may be a wake but can still obstruct or aspirate
▼ Blow off all agent (ET gas to O) to ↓ risk
Extubation
Usually in OR
PACU Discharge Criteria
- Easy arousability
- Full orientation
- The ability to maintain and protect the airway
- Stable vital signs for at least 15-30 minutes
- The ability to call for help if necessary
- No obvious surgical complications
PACU Discharge Criteria
- Controlling postoperative pain
- Controlling nausea and vomiting
- Reestablishing normothermia prior to discharge
What keeps Pts in the PACU the most
N/V
Utilize multi modality antiemets to prevent this.
Guidelines for Discharge
(Table from book)
, Normal urine output for adults?
1ml/kg/hr
What are the 2 recovery systems the PACU uses?
Aldrete Recovery System
Postanesthesia discharge scoring system (PADS)
Aldrete Recovery System
- Activity 0-2
- Respiration 0-2
- Circulation 0-2
- Consciousness 0-2
- Color 0-2
- 0-10
Least used. Does not talk about pain or recovery.
Aldrete Recovery System
(Table form book)
Postanesthesia discharge scoring system (PADS)
- Vital signs 0-2
- Activity level 0-2
- Nausea and vomiting 0-2
- Pain 1-2
- Surgical bleeding 0-2
- Score> 9 is required for discharge
Has more to do with Sx complications.
Postanesthesia discharge scoring system (PADS)
(Table for book)
